In a drug-drug interaction study sildenafil 50 mg given with alcohol 0.5 g/kg in which mean maximum blood alcohol levels of 0.08% was achieved, sildenafil did not potentiate the hypotensive effect of alcohol in healthy volunteers [see CLINICAL PHARMACOLOGY].
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Using Smart Phones to Understand the Link Between Social and Geographical Context and HIV Risk Behavior Among MSM (GPS and Health) [510,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]} [6126,43]{"namedChunks":["modules-factsheet-details-components-FactSheetDetails-factSheetDetails"]}
International Journal of Impotence Research: "Anxiety and erectile dysfunction: a global approach to ED enhances results and quality of life."
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Nearly 95% of men with erectile dysfunction can obtain an erection sufficient for sexual satisfaction with a vacuum constriction device. Only vacuum constriction devices containing a vacuum limiter should be used. All FDA approved devices have such a limiter. Vacuum constriction devices can be a useful second-line treatment option especially in the patient with a supportive partner in a stable relationship. Virtually all men of all ages and with all types of erectile dysfunction can have successful intercourse with a vacuum constriction device.
There are hundreds of medications that have the side effect of ED and/or decreased libido. Examples of drugs implicated as a cause of ED include hydrochlorothiazides and beta-blocking agents. Medications used to treat depression, particularly the SSRIs such as citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Prozac Weekly, Sarafem), fluvoxamine (Luvox, Luvox CR), paroxetine (Paxil, Paxil CR, Pexeva) and sertraline (Zoloft), may also contribute to ED.9 Bupropion (Wellbutrin) which has a predominant effect on blocking the reuptake of dopamine is an antidepressant with lower incidence of ED.10 The side effects of 5ARIs occurring in fewer than 5% of patients can include gynaecomastia, ED, loss of libido and ejaculatory dysfunction.11
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Translational Andrology and Urology reports that sedentary lifestyles can greatly influence a man’s ability to get an erection and achieve orgasm. The fact is that cardiovascular health and erectile functions are extremely intertwined. Restoration of overall bodily functions, especially to the heart, kidney, and liver, are key in having a harmonious sex life.
It helps to understand how an erection works. Sexual stimulation delivers extra blood to the penis through the arteries, causing an erection.
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Figure: Penile blood flow velocity across blood pressure categories in treated and untreated men
At Innerbody Research, we customize our evaluation criteria depending on the type and nature of the health-related service. For sexual health products and telehealth companies, we use the following for our evaluations:
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When you’re living with erectile dysfunction (ED), you’ll consider doing just about anything to get your sex life back on track. Eating roots like ginseng -- fine. Drinking special juices like pomegranate -- tasty. Even becoming a human pin-cushion for a treatment like acupuncture -- bring it on.
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Results: A total of 65 men participated in the study. Of the total study participants, 33.8% were aged 25–34 years and about 40% of them had multiple sexual partners. The use of sildenafil for recreational purposes was 66.2% and was found to be higher than its use for medical purposes 33.8%. Use of the drug for <1-year duration (AOR = 34.086, 95% CI [2.90, 401.37]) and 2 years duration (AOR = 21.42: 95% CI [2.10, 218.82]) were significantly associated with its use for recreational purpose. Non-recreational use of sildenafil includes erectile problems associated with diabetes mellitus (27.1%), heart disease (9.2%), hyperlipidemia (4.2%), and relationship problems due to stress and poor communication (3.1%).
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- Ayurveda Erectile dysfunction is a common condition among men, but it doesn't mean you can't do anything about it. This book includes everything you need to know to understand erectile dysfunction and the way to heal it naturally.
Different kinds of ginseng are available. Mostly (red ginseng) Panax ginseng is used, and it is also known as herbal Viagra. 600-1000 mg three times daily is considered to be the effective dose of red ginseng. It is the most trusted and effective remedy for ED. Ginsenosides present in Panax ginseng is are the vital elements that improve the erection.
We appreciate your feedback. One of our content team members will be in touch with you soon. On This Page How Viagra Works Erectile Dysfunction Administration & Dosages Side Effects of Viagra FDA Safety Communication Drug Interactions & Contraindications Next Topic Lawsuits Cheaper, Generic Forms of Viagra Hit U.S. Market Pharmacy Floats Drone-Based Delivery Concept for Viagra Written By Kristin Compton Writer
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The most common side effects of VIAGRA: headache; flushing; upset stomach; abnormal vision, such as changes in color vision (such as having a blue color tinge) and blurred vision; stuffy or runny nose; back pain; muscle pain; nausea; dizziness; rash.
Surgical treatment mainly consists of penile implants or surgeries to repair damaged blood vessels (revascularization surgery).
Couples can learn new ways to please one another and to show affection. This can reduce anxiety about having erections. Feeling nervous about sex. This could be because of a bad experience or a previous episode of ED. Feeling stressed, including work and family stress. Feeling depressed. Feeling self-conscious about your body or performance. Thinking your partner is reacting negatively toward you.
Our patients often undergo a full body exam to determine whether they have early cardiovascular disease, vascular disease or a metabolic condition such as diabetes. Treatment is addressed with a multi-disciplinary approach.
Innerbody is independent and reader-supported. When you buy through links on our site, we may earn a commission. Learn More What's the Best ED Treatment in 2022? Our ED guide examines cost, effectiveness, convenience, and other facts about erectile dysfunction treatments, plus free trial info
No dose adjustment is required for mild (CLcr=50-80 mL/min) and moderate (CLcr=30-49 mL/min) renal impairment. In volunteers with severe renal impairment (Clcr < 30 mL/min), sildenafil clearance was reduced, resulting in higher plasma exposure of sildenafil (~2 fold), approximately doubling of Cmax and AUC. A starting dose of 25 mg should be considered in patients with severe renal impairment [see DOSAGE AND ADMINISTRATION and CLINICAL PHARMACOLOGY].
Sexual activity may put extra strain on your heart, especially if you have heart problems. If you have heart problems and experience any of these serious side effects while having sex, stop and get medical help right away: severe dizziness, fainting, chest/jaw/left arm pain, nausea.
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Shockwave therapy for ED is still considered an experimental treatment option. There is some data to support its efficacy, but research is ongoing to determine how well it works long-term and whether it can replace or be offered along with other proven ED treatments. What Is Shockwave Therapy?
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Distributed by: Pfizer Labs, Division of Pfizer Inc., NY, NY 10017. Revised: Sep 2015 SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Cardiovascular [see WARNINGS AND PRECAUTIONS] Prolonged Erection and Priapism [see WARNINGS AND PRECAUTIONS] Effects on the Eye [see WARNINGS AND PRECAUTIONS] Hearing Loss [see WARNINGS AND PRECAUTIONS] Hypotension when Co-administered with Alpha-blockers or Anti-hypertensives [see WARNINGS AND PRECAUTIONS] Adverse Reactions with the Concomitant Use of Ritonavir [see WARNINGS AND PRECAUTIONS] Combination with other PDE5 Inhibitors or Other Erectile Dysfunction Therapies [see WARNINGS AND PRECAUTIONS] Effects on Bleeding [see WARNINGS AND PRECAUTIONS] Counseling Patients About Sexually Transmitted Diseases [see WARNINGS AND PRECAUTIONS]
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Because ED often indicates a systemic disease, the condition has several risk factors, including: Cardiovascular diseaseHypertensionDiabetes mellitus Tobacco useHyperlipidemiaHypogonadismLower urinary tract symptomsMetabolic syndromeDepression
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It should be used with precautions because some serious side effects are associated with it like tremor, increase blood pressure, increase heart rate, and irritability. Evidence shows that it improves the different type of sexual dysfunction.
Erectile dysfunction can happen as a side effect of medication which is taken for a health condition. Common problems are high blood pressure medications, beta-blockers, heart medication, medication for male baldness. If you think that your medication is causing erectile dysfunction, you can talk to your doctor and don’t stop the intake of the medication on your own.
Reluctance to seek treatment remains the major barrier to restoring full sexual function for men who have erectile dysfunction.
Bullet point: The relationship between the risk factors for CVD and ED are intimately interwoven, one with the other. Clinicians need to factor this in when counselling the man with ED.
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Erythrocytosis has been noted in men on TRT, and should be monitored every 6–12 months depending upon the patients’ response to changes in haematocrit levels. For mild elevations, the dosage of testosterone can be decreased or the interval of using the medication can be increased. With the haematocrit greater than 50%, decisions to temporarily discontinue the medication or periodic phlebotomy may be indicated.38
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Based on effectiveness and toleration, the dose may be increased to a maximum recommended dose of 100 mg or decreased to 25 mg.
Most ageing men manage to get erections, but to do so requires more stimulation. It is up to each man to decide whether his erection is adequate. You can consider (with your partner) how important sexual intercourse is to your relationship. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship.
Prolonged erection (priapism) — This is an easily managed but potentially serious complication. If you ignore it, you could have severe pain and may need a small operation. It could even make you completely impotent (meaning you cannot respond to injections). Therefore, only make SMALL adjustments to your dose, if needed.
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Alcohol is considered a depressant which can cause long-term or temporary erectile dysfunction. The central nervous system is also responsible for releasing nitric oxide, which is an essential chemical to produce an erection and heavy alcohol consumption also depresses the central nervous system which causes it to function not properly.
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One expert said the study carries valuable lessons for men worried about their sexual health.
Experts feel that treating erectile dysfunction on your own, without consulting a doctor, is unsafe. "If you have ED, the first thing you need is a diagnosis," says impotence expert Steven Lamm, MD, a New York City internist and the author of The Hardness Factor (Harper Collins) and other books on male sexual health. He says men with severe erectile dysfunction probably need one of the prescription ED drugs, which include the PDE-5 inhibitors Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil), as well as Viagra. But, he says, mild ED -- including the feeling that "you're not as hard as you could be" -- often responds to natural remedies.
Like all medicines, sildenafil can cause side effects, although not everyone gets them. Common side effects
Have you ever woken up in the morning and been unsure whether you’ll be having sex that day? Chances are, you have. This is one reason why some men and their partners prefer sildenafil and other ED medications instead of tadalafil. With just a little bit of preparation (making sure you have sildenafil at the ready), you can use a dose of sildenafil once it’s clear that the fun is indeed about to start.
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This medicine is available on prescription and you can also buy it from most pharmacies. It comes as standard tablets, chewable tablets, and as a liquid that you swallow. Who can take sildenafil
Medicine such as sildenafil (sold as Viagra) is also often used by doctors to treat erectile dysfunction. It's also available from pharmacies.
Sildenafil is also available in other brands and strengths for treating high blood pressure in the lungs (pulmonary hypertension). Do not take sildenafil with any other product that contains sildenafil or other similar medications for erectile dysfunction-ED or pulmonary hypertension (such as tadalafil, vardenafil).
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This involves listening to the heart rate and the lungs. The blood pressure is checked, the testicles and penis are examined. A rectal exam can be done to test for prostate.
Every case of ED has one thing in common – decreased blood flow to the genital area. This can occur due to a multitude of reasons, as poor blood flow has many causes that are unique to each case. There are a large amount of natural remedies and practices that you can begin to incorporate into your routine to begin to combat the lack of blood flow you may be experiencing. Poor diet leads to conditions such as diabetes and heart disease. Both of these conditions contribute to decreased blood flow and the clogging of the arteries needed to supply the penis with blood. If you are overweight and experiencing symptoms of erectile dysfunction, you are likely suffering as a direct result of other conditions you may have developed. By reducing your portion sizes, eating green leafy vegetables, and practicing an overall balanced diet, you can begin to combat the effects of ED Exercising regularly has been proven in multiple studies to give a multitude of health benefits. On top of a better mood and increased libido, a regular exercise routine provides you with better blood circulation and heart health. With better circulation throughout the body, the chances of erectile dysfunction occurring are greatly reduced.
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What are truly the norms for testosterone levels in men and could we better determine which might actually benefit, and thus, should receive TRT?
However, PDA advises taking cautions when using ginger. For those in blood thinners, ginger may increase the risk of bleeding The herb may also increase the effects of insulin or glucose-lowering medications.
Erectile dysfunction can be a sign of a more serious health problem, especially in middle-aged men.
Alcohol is considered a depressant which can cause long-term or temporary erectile dysfunction. The central nervous system is also responsible for releasing nitric oxide, which is an essential chemical to produce an erection and heavy alcohol consumption also depresses the central nervous system which causes it to function not properly.
Erectile dysfunction is a sensitive topic. Most men would not want anyone to know they struggle with it. Fortunately, these companies all value your privacy, and shipments do not reveal what’s inside.
A psychological component, often called "performance anxiety", is common in men with impotence. However, a purely psychological problem is seen in only 10%.
Distributed by: Pfizer Labs, Division of Pfizer Inc., NY, NY 10017. Revised: Sep 2015 SLIDESHOW Erectile Dysfunction (ED) Causes and Treatment See Slideshow Cardiovascular [see WARNINGS AND PRECAUTIONS] Prolonged Erection and Priapism [see WARNINGS AND PRECAUTIONS] Effects on the Eye [see WARNINGS AND PRECAUTIONS] Hearing Loss [see WARNINGS AND PRECAUTIONS] Hypotension when Co-administered with Alpha-blockers or Anti-hypertensives [see WARNINGS AND PRECAUTIONS] Adverse Reactions with the Concomitant Use of Ritonavir [see WARNINGS AND PRECAUTIONS] Combination with other PDE5 Inhibitors or Other Erectile Dysfunction Therapies [see WARNINGS AND PRECAUTIONS] Effects on Bleeding [see WARNINGS AND PRECAUTIONS] Counseling Patients About Sexually Transmitted Diseases [see WARNINGS AND PRECAUTIONS]
In another study in healthy male volunteers, co-administration with the HIV protease inhibitor ritonavir, which is a highly potent P450 inhibitor, at steady state (500 mg bid) with VIAGRA (100 mg single dose) resulted in a 300% (4-fold) increase in sildenafil Cmax and a 1000% (11-fold) increase in sildenafil plasma AUC. At 24 hours the plasma levels of sildenafil were still approximately 200 ng/mL, compared to approximately 5 ng/mL when sildenafil was dosed alone. This is consistent with ritonavir's marked effects on a broad range of P450 substrates. VIAGRA had no effect on ritonavir pharmacokinetics [see DOSAGE AND ADMINISTRATION and DRUG INTERACTIONS].
If natural remedies aren’t helping your sexual health problems, you might want to consider treatments, such as sildenafil or tadalafil, that work by encouraging blood flow, making it easier to maintain an erection.
The role of the endothelium in erectile function became clearer with the observation that the phosphodiesterase type 5 (PDE5) inhibitor, sildenafil, enhanced erectile function. Erection occurs with the release of nitric oxide (NO) from the vascular endothelial cells.17 The reduction in endothelial cell production of NO results in the negative impact on the smooth muscles in the corporal bodies and results in less relaxation of the smooth muscle cells with decrease in blood supply and resulting ED. A similar phenomenon is well known to impact the coronary arterial system resulting in CVD.
Finding a good support system is key for overcoming ED. Talking to your partner may be a good place to start.
If anxiety or stress is causing your ED, it may help to talk to a professional therapist.
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Do you know about all the serious issues with Viagra and their generic substitutes? Check out how a lot of informed men are able to regain full function without pills, shots, or surgery and go back to being intimate the natural way.
